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Small Animal Clinical Pharmacology E-Book

Small Animal Clinical Pharmacology E-Book

Jill E. Maddison | Stephen W Page | David B Church

(2008)

Additional Information

Abstract

Small Animal Clinical Pharmacology is a practical, clinically-oriented pharmacology text designed to provide the veterinary student and practitioner with all the relevant information needed when designing drug treatment regimens for pets in small animal veterinary practice. Comprehensively updated and revised, the second edition of this core text covers essential new information on drugs used in the management of a range of presenting conditions including heart disease and cardiac arrhythmias. For the second edition new authors, superb new illustrations and a second colour have all been introduced. With its unique approach combining a thorough understanding of the pharmacological action of drugs with a basic understanding of the relevant physiology and pathophysiology of systems and tissues affected, Small Animal Clinical Pharmacology continues to be an indispensable book for all veterinary students and practitioners.

  • Organised by drug class in a uniform and detailed structure which means it is easy to locate key information on dose rates, routes of administration, drug interactions and special considerations at a glance
  • Key chapters based around treatment of disorders of particular body systems, eg cardiovascular and thyroid disorders
  • Essential introductory chapters covering pharmacokinetics, general pharmacological principles and adverse reactions for a thorough basic grounding in the subject
  • All authors are experienced clinicians and recognised experts in their field who bring a down to earth and practical approach to the text

Table of Contents

Section Title Page Action Price
Front cover Cover
Small Animal Clinical Pharmacology iii
Copyright page iv
Table of contents v
Contributors vi
Preface viii
Dedication ix
Chapter 1: Principles of clinical pharmacology 1
INTRODUCTION 1
DEFINITIONS 1
HOW DRUGS WORK 3
DRUG RECEPTORS 4
DRUG NOMENCLATURE 8
CLASSIFICATION OF DRUGS 10
SOURCES OF INFORMATION 10
FACTORS THAT MODIFY DRUG EFFECTS AND DOSAGE 11
PLACEBO EFFECTS 19
DEVELOPMENT OF NEW ANIMAL DRUGS 20
LABELING OF DRUGS 22
PRINCIPLES OF GOOD PRESCRIBING PRACTICE/RESPONSIBILITIES OF COMPANION ANIMAL CLINICIANS 23
CONCLUSION 26
FURTHER READING 26
Chapter 2: Clinical pharmacokinetics 27
INTRODUCTION 27
THE PHYSIOLOGICAL BASIS OF PHARMACOKINETICS 27
PHARMACOKINETICS AND THE VETERINARY CLINICIAN 33
THERAPEUTIC DRUG MONITORING AS AN AID IN THERAPEUTIC MANAGEMENT OF CERTAIN DISEASES 37
CONCLUSION 37
FURTHER READING 37
APPENDIX: PHARMACOKINETIC EQUATIONS FOR CALCULATING PARAMETERS FROM DOSE ADMINISTRATION EXPERIMENTS 38
Chapter 3: Adverse drug reactions 41
CLASSIFICATION OF ADVERSE DRUG REACTIONS 41
INCIDENCE OF ADVERSE DRUG REACTIONS 42
IDENTIFICATION OF ADVERSE DRUG REACTIONS 46
FACTORS THAT INFLUENCE TYPE A ADVERSE DRUG REACTIONS 47
TYPE B ADVERSE DRUG REACTIONS (HYPERSENSITIVITY) 55
REPORTING SUSPECTED ADVERSE DRUG REACTIONS 56
REFERENCES 57
FURTHER READING 58
Chapter 4: The pharmacology of the autonomic nervous system 59
ANATOMICAL ORGANIZATION OF THE AUTONOMIC NERVOUS SYSTEM 59
PHYSIOLOGICAL AND PHARMACOLOGICAL ORGANIZATION OF THE AUTONOMIC NERVOUS SYSTEM 60
NEUROTRANSMISSION IN THE AUTONOMIC NERVOUS SYSTEM 61
THE PARASYMPATHETIC NERVOUS SYSTEM – CHOLINERGIC SYNAPSES 61
THE SYMPATHETIC NERVOUS SYSTEM – CATECHOLAMINERGIC SYNAPSES 69
DRUGS ACTING ON THE AUTONOMIC NERVOUS SYSTEM AND THEIR CLINICAL APPLICATION 74
FURTHER READING 82
Chapter 5: Anesthetic agents 83
INHALATIONAL ANESTHETICS 83
INTRODUCTION 83
GENERAL CLINICAL APPLICATIONS 83
PHYSIOLOGICAL PRINCIPLES 83
INHALATION ANESTHETIC AGENTS 84
INJECTABLE ANESTHETICS 95
INJECTABLE ANESTHETIC AGENTS 95
LOCAL ANESTHETICS 108
FURTHER READING 112
Chapter 6: Sedatives 113
INTRODUCTION 113
GENERAL CLINICAL APPLICATIONS 113
RELEVANT PHYSIOLOGY 113
CLASSES OF SEDATIVE/TRANQUILIZER 114
FURTHER READING 125
Chapter 7: Behavior-modifying drugs 126
CLINICAL AND DIAGNOSTIC CONSIDERATIONS 126
NEUROPHYSIOLOGY AND NEUROCHEMISTRY OF BEHAVIOR 127
CLASSES OF BEHAVIOR-MODIFYING DRUGS 129
ANTIHISTAMINES 129
ANTIPSYCHOTICS (NEUROLEPTICS) 130
ANTICONVULSANTS 132
b-BLOCKERS 132
OPIOID AGONISTS/ANTAGONISTS 133
CNS STIMULANTS – AMFETAMINES 133
BENZODIAZEPINES 134
ANTIDEPRESSANTS 136
AZASPIRODECANEDIONES – AZASPIRONES 141
HORMONES 142
a-ADRENERGIC AGONISTS 143
a-ADRENERGIC ANTAGONISTS 144
PHEROMONES 144
ERGOT ALKALOIDS 145
LITHIUM 146
XANTHINE DERIVATIVE GLIAL CELL MODULATORS 146
FURTHER READING 147
Chapter 8: Antibacterial drugs 148
PRINCIPLES OF ANTIBACTERIAL THERAPY 148
CLASSIFICATION OF ANTIBACTERIAL DRUGS 157
b-LACTAM ANTIBIOTICS 159
PENICILLINS 159
CLASSES OF PENICILLINS 161
b-LACTAMASE INHIBITORS 163
CEPHALOSPORINS AND CEPHAMYCINS 164
CARBAPENEMS 168
PEPTIDE ANTIBIOTICS 169
ANTIBACTERIALS ACTING BY INHIBITING CELL MEMBRANE FUNCTION 170
ANTIMICROBIALS AFFECTING BACTERIAL PROTEIN SYNTHESIS 170
AMINOGLYCOSIDES AND AMINOCYCLITOLS 170
TETRACYCLINES 173
CHLORAMPHENICOL 175
MACROLIDES AND LINCOSAMIDES 176
ANTIMICROBIALS AFFECTING NUCLEIC ACID SYNTHESIS 178
SULFONAMIDES AND POTENTIATORS 178
FLUOROQUINOLONES 180
METRONIDAZOLE 183
RIFAMPICIN (RIFAMPIN) 184
NITROFURANS 184
CLOFAZIMINE 185
SUMMARY OF ACTIVITY/INACTIVITY OF ANTIBACTERIAL DRUGS 185
Chapter 9: Systemic antifungal therapy 186
INTRODUCTION 186
AMPHOTERICIN B 186
FLUCYTOSINE 189
AZOLE ANTIFUNGALS 189
NEW TRIAZOLES 193
GRISEOFULVIN 194
ALLYLAMINES 195
ANTIFUNGAL AGENTS THAT TARGET THE FUNGAL CELL WALL 196
FURTHER READING 196
Chapter 10: Antiparasitic drugs 198
INTRODUCTION 198
PUBLIC HEALTH CONSIDERATIONS 198
APPARENT INEFFICACY 198
SELECTIVE TOXICITY 199
INTERNAL PARASITICIDES 200
BENZIMIDAZOLES 200
NICOTINIC ANTHELMINTICS 208
MACROCYCLIC LACTONE PARASITICIDES 210
AVERMECTINS 211
MILBEMYCINS 213
CYCLO-OCTADEPSIPEPTIDES 214
CESTOCIDES 214
ARSENICALS 217
MISCELLANEOUS ANTHELMINTICS 219
EXTERNAL PARASITICIDES 221
FORMAMIDINES 224
INSECT GROWTH REGULATORS AND INSECT DEVELOPMENT INHIBITORS 225
MISCELLANEOUS EXTERNAL PARASITICIDES 226
NEONICOTINOIDS 228
PHENYL PYRAZOLES 228
SEMICARBAZONE 230
REPELLENTS 230
DEET 231
SYNERGISTS 232
ANTICHOLINESTERASE PARASITICIDES 232
PYRETHRINS AND SYNTHETIC PYRETHROIDS 234
ANTIPROTOZOAL DRUGS 236
FURTHER READING 244
APPENDIX: PARASITES OF DOGS AND CATS 245
Chapter 11: Glucocorticosteroids and antihistamines 261
GLUCOCORTICOSTEROIDS 261
ANTIHISTAMINES 266
REFERENCE 269
FURTHER READING 269
Chapter 12: Immunomodulatory therapy 270
INTRODUCTION 270
DRUGS WITH IMMUNOSUPPRESSIVE EFFECTS 270
DRUGS WITH IMMUNOSTIMULATORY EFFECTS 279
MISCELLANEOUS AGENTS REPORTED TO HAVE IMMUNOSTIMULATORY ACTIVITY 284
FUTURE IMMUNOTHERAPY 285
FURTHER READING 285
Chapter 13: Nonsteroidal anti-inflammatory drugs and chondroprotective agents 287
APPROVED NSAIDS FOR SMALL ANIMAL PRACTICE (ORDERED ALPHABETICALLY) 297
UNAPPROVED NSAIDS USED IN SMALL ANIMAL PRACTICE 303
CHONDROPROTECTIVE AGENTS FOR SMALL ANIMAL PRACTICE 306
APPROVED CHONDROPROTECTIVE DRUGS FOR SMALL ANIMAL PRACTICE 307
FURTHER READING 308
Chapter 14: Opioid analgesics 309
INTRODUCTION 309
CLINICAL PHARMACOLOGY OF INDIVIDUAL OPIOID AGONISTS 318
PARTIAL AGONISTS 326
AGONISTS–ANTAGONISTS 326
OPIOID ANTAGONISTS 328
Chapter 15: Cancer chemotherapy 330
INTRODUCTION 330
GENERAL INDICATIONS FOR CHEMOTHERAPY 330
RELEVANT PATHOPHYSIOLOGY OF CANCER 330
IMPORTANT PRINCIPLES OF TREATMENT IN CANCER CHEMOTHERAPY 331
DRUG HANDLING 334
STABILITY OF INJECTABLE CYTOTOXIC DRUGS 334
COMPOUNDING DRUGS 335
CYTOTOXIC DRUG CLASSES 335
TUBULIN-BINDING AGENTS 335
ALKYLATING AGENTS 340
ANTHRACYCLINE ANTIBIOTICS 348
OTHER ANTITUMOUR ANTIBIOTICS 352
PLATINUM ANALOGS 354
ANTIMETABOLITES 358
MISCELLANEOUS DRUGS 361
FURTHER READING 364
APPENDIX: COMMON CHEMOTHERAPY PROTOCOLS 365
COP CHEMOTHERAPY 365
MULTIAGENT PROTOCOL FOR LYMPHOMA UW- MADISON –25 365
LYMPHOMA RESCUE PROTOCOLS 365
Chapter 16: Anticonvulsant drugs 367
ANTICONVULSANT DRUGS 368
FURTHER READING 379
Chapter 17: Drugs used in the management of heart disease and cardiac arrhythmias 380
BACKGROUND 380
THERAPEUTIC APPROACH TO HEART FAILURE 380
WHICH THERAPY FOR WHICH CONDITION? 387
DRUGS USED TO TREAT HEART FAILURE 388
DIURETICS 388
POSITIVE INOTROPIC DRUGS 395
INODILATORS 398
VASODILATORS 402
PURE VASODILATORS 404
VASODILATORS WITH ADDITIONAL PROPERTIES 411
NEUROENDOCRINE MODULATION 412
ALDOSTERONE ANTAGONISTS 418
b-BLOCKERS 419
POSITIVE AGENTS (MEDICATIONS THAT IMPROVE VENTRICULAR RELAXATION) 422
NEW OR EXPERIMENTAL HEART FAILURE DRUGS 423
DRUGS USED FOR THE TREATMENT OF CARDIAC ARRHYTHMIAS 424
DRUGS USED TO TREAT TACHYARRHYTHMIAS 425
CLASS I ANTIARRHYTHMIC DRUGS 428
CLASS II ANTIARRHYTHMIC DRUGS (b-ADRENERGIC BLOCKERS) 434
CLASS III ANTIARRHYTHMIC DRUGS 438
CLASS IV ANTIARRHYTHMIC DRUGS 442
DIGITALIS GLYCOSIDES 445
DRUGS USED TO TREAT BRADYARRHYTHMIAS 451
ANTICOAGULANTS 453
ANTIPLATELET DRUGS 456
ASPIRIN 456
THIENOPYRIDINES 456
FURTHER READING 457
Chapter 18: Drugs used in the management of respiratory diseases 458
INTRODUCTION 458
CLINICAL SIGNS OF RESPIRATORY DISEASE 458
BRONCHODILATOR DRUGS 459
ADRENERGIC AGONISTS 459
METHYLXANTHINES 461
ANTICHOLINERGICS 462
TOPICAL ANTI-INFLAMMATORY THERAPY 462
ANTITUSSIVES 463
NONOPIOID ANTITUSSIVES 464
OPIOID ANTITUSSIVES 464
MUCOLYTICS 465
EXPECTORANTS 467
ANTILEUKOTRIENES 467
FURTHER READING 468
Chapter 19: Gastrointestinal drugs 469
ANTIEMETIC DRUGS 469
CLASSES OF ANTIEMETICS 471
ANTIULCER DRUGS 477
CLASSES OF ANTIULCER DRUGS 478
THERAPY FOR ERADICATION OF HELICOBACTER SPP 483
DRUG COMBINATIONS 483
PROKINETIC DRUGS 483
LAXATIVES, ENEMAS AND BOWEL CLEANSERS 485
LAXATIVE THERAPY 485
ANTIDIARRHEAL DRUGS 487
MOTILITY-MODIFYING DRUGS 487
APPETITE STIMULANTS 490
DRUGS USED FOR MANAGEMENT OF HEPATIC DISEASE 491
URSODEOXYCHOLIC ACID (URSODIOL) 491
EMETIC AGENTS 496
FURTHER READING 497
Chapter 20: Drugs used in the management of thyroid and parathyroid disease 498
THYROID DISEASE 498
THYROID HORMONE REPLACEMENT THERAPY 499
ANTITHYROID DRUGS 501
PARATHYROID DISEASE 503
TREATMENT OF HYPERCALCEMIA 505
TREATMENT OF HYPOCALCEMIA 507
FURTHER READING 508
Chapter 21: Drugs used in the treatment of disorders of pancreatic function 509
RELATIVE/ABSOLUTE INSULIN DEFICIENCY (DIABETES MELLITUS) 509
INSULINS 509
CLASSES OF INSULINS 510
ORAL HYPOGLYCEMIC AGENTS 512
a-GLUCOSIDASE INHIBITORS 515
EXOCRINE PANCREATIC INSUFFICIENCY 515
EXOCRINE PANCREATIC ENZYME REPLACEMENTS 516
FURTHER READING 516
Chapter 22: Drugs used in the treatment of adrenal dysfunction 517
HYPERADRENOCORTICISM 517
DRUGS ACTING ON THE HYPOTHALAMIC-PITUITARY AXIS 517
DRUGS ACTING ON THE ADRENAL CORTEX 519
HYPOADRENOCORTICISM 524
Chapter 23: Drugs and reproduction 528
INTRODUCTION 528
POLYPEPTIDE HORMONES 529
STEROIDS 535
EICOSANOID FATTY ACIDS 541
MISCELLANEOUS DRUGS 543
REFERENCES 543
Chapter 24: Topical dermatological therapy 546
SHAMPOOS, MOISTURIZERS AND CONDITIONERS 550
CREAMS, EMULSIONS AND OINTMENTS 554
TOPICAL THERAPY OF OTITIS EXTERNA 554
FURTHER READING 556
Chapter 25: Ocular clinical pharmacology 557
SPECIAL CONSIDERATIONS IN OCULAR THERAPY 557
ANTI-INFLAMMATORY OCULAR THERAPY 559
CLASSES OF DRUGS USED TO TREAT OCULAR INFLAMMATION 559
ANTIBACTERIAL DRUGS 564
ANTIBACTERIAL DRUG CLASSES 565
ANTIFUNGAL AGENTS 567
POLYENE ANTIBACTERIALS 567
PYRIMIDINE DERIVATIVES 567
IMIDAZOLE DERIVATIVES 567
OTHER ANTIFUNGALS 567
ANTIVIRAL THERAPY 568
ADDITIONAL THERAPIES FOR THE TREATMENT OF VIRAL KERATITIS 568
DRUGS AFFECTING PUPIL SIZE 569
MYDRIATICS 569
MIOTICS 569
GLAUCOMA TREATMENTS 570
TOPICAL GLAUCOMA TREATMENT 570
SYSTEMIC GLAUCOMA TREATMENT 571
GLAUCOMA SUMMARY 571
MISCELLANEOUS THERAPY FOR GLAUCOMA 571
TOPICAL ANESTHETICS 572
CORNEAL DEHYDRATING AGENTS 572
DRY EYE THERAPY 572
OCULAR LUBRICANTS 573
FURTHER READING 573
Index 574